PILOT STUDY OF A MEASURE OF FUNCTIONAL DEPENDENCE IN OLDER ADULTS RECEIVING CHEMOTHERAPY

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Hdl Handle:
http://hdl.handle.net/10755/165272
Category:
Abstract
Type:
Presentation
Title:
PILOT STUDY OF A MEASURE OF FUNCTIONAL DEPENDENCE IN OLDER ADULTS RECEIVING CHEMOTHERAPY
Author(s):
Goodwin, Julia; Coleman, Elizabeth Ann; Cody, Marisue; Shaw, Jennifer; Lipschitz, David
Author Details:
Julia Goodwin, MNSc, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA; Elizabeth Ann Coleman; Marisue Cody; Jennifer Shaw; David Lipschitz
Abstract:
The proportion of older adults in the population and the incidence of cancer in older adults are increasing. Older adults with cancer frequently experience functional dependence (FD) resulting from the disease or treatment. Accurate assessment by oncology nurses or other clinicians would allow early intervention for FD. The study purpose was to develop and evaluate a brief, patient-completed instrument measuring FD in older adults undergoing cancer treatment. Orem’s Self-Care Deficit Nursing Care Theory includes compensatory nursing systems and helping methods that address functional dependence in basic and instrumental activities of daily living. A FD assessment tool was developed and evaluated in older adults with various cancers during outpatient chemotherapy visits at two oncology facilities. Older adults with cancer, social workers, and oncology nurses and physicians established content validity through focus groups and individual interviews. FD included performance measured on a 100mm visual analog scale for basic (BADL-eating, toileting, mobility, dressing, bathing) and instrumental (IADL-phone, shopping, meal preparation, chores, transportation, medications, finances) activities. Reliability was evaluated for all chemotherapy visits, visits 2-5, and visits 2-9. Repeated measures analysis evaluated functional dependence over time and possible associations with age, use of radiation or surgery, hemoglobin, and cancer type. Twenty-six participants (mean age 71 yrs, SD 5; 54% female; cancer type: breast 35%, lung 27%, gastrointestinal 23%, other 15%) completed the instrument at chemotherapy visits. The number of assessments completed by each participant (mean 5.6) varied with chemotherapy protocol and participant adherence to treatment. The study instrument demonstrated high internal consistency on SFDS scores: BADL (.7655 - .9357), IADL (.8994 - .9045), and summed total (.8588 - .9139). Repeated measures analysis found statistically significant (p <.01) differences in cancer type and hemoglobin level across summed scores for BADL and for IADL. Increased age, breast or lung cancer, and lower hemoglobin were associated with increased FD. This instrument may assist oncology nurses and other clinicians with patient self-assessment of FD during cancer treatment. Correction or support of FD may increase compliance with chemotherapy treatment and improve quality of life. Further evaluation of the instrument is suggested.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
30th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Orlando, Florida, USA
Sponsors:
Funding Sources: Ortho-Biotech, Inc.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePILOT STUDY OF A MEASURE OF FUNCTIONAL DEPENDENCE IN OLDER ADULTS RECEIVING CHEMOTHERAPYen_GB
dc.contributor.authorGoodwin, Juliaen_US
dc.contributor.authorColeman, Elizabeth Annen_US
dc.contributor.authorCody, Marisueen_US
dc.contributor.authorShaw, Jenniferen_US
dc.contributor.authorLipschitz, Daviden_US
dc.author.detailsJulia Goodwin, MNSc, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA; Elizabeth Ann Coleman; Marisue Cody; Jennifer Shaw; David Lipschitzen_US
dc.identifier.urihttp://hdl.handle.net/10755/165272-
dc.description.abstractThe proportion of older adults in the population and the incidence of cancer in older adults are increasing. Older adults with cancer frequently experience functional dependence (FD) resulting from the disease or treatment. Accurate assessment by oncology nurses or other clinicians would allow early intervention for FD. The study purpose was to develop and evaluate a brief, patient-completed instrument measuring FD in older adults undergoing cancer treatment. Orem&rsquo;s Self-Care Deficit Nursing Care Theory includes compensatory nursing systems and helping methods that address functional dependence in basic and instrumental activities of daily living. A FD assessment tool was developed and evaluated in older adults with various cancers during outpatient chemotherapy visits at two oncology facilities. Older adults with cancer, social workers, and oncology nurses and physicians established content validity through focus groups and individual interviews. FD included performance measured on a 100mm visual analog scale for basic (BADL-eating, toileting, mobility, dressing, bathing) and instrumental (IADL-phone, shopping, meal preparation, chores, transportation, medications, finances) activities. Reliability was evaluated for all chemotherapy visits, visits 2-5, and visits 2-9. Repeated measures analysis evaluated functional dependence over time and possible associations with age, use of radiation or surgery, hemoglobin, and cancer type. Twenty-six participants (mean age 71 yrs, SD 5; 54% female; cancer type: breast 35%, lung 27%, gastrointestinal 23%, other 15%) completed the instrument at chemotherapy visits. The number of assessments completed by each participant (mean 5.6) varied with chemotherapy protocol and participant adherence to treatment. The study instrument demonstrated high internal consistency on SFDS scores: BADL (.7655 - .9357), IADL (.8994 - .9045), and summed total (.8588 - .9139). Repeated measures analysis found statistically significant (p &lt;.01) differences in cancer type and hemoglobin level across summed scores for BADL and for IADL. Increased age, breast or lung cancer, and lower hemoglobin were associated with increased FD. This instrument may assist oncology nurses and other clinicians with patient self-assessment of FD during cancer treatment. Correction or support of FD may increase compliance with chemotherapy treatment and improve quality of life. Further evaluation of the instrument is suggested.en_GB
dc.date.available2011-10-27T12:15:35Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:15:35Z-
dc.conference.date2005en_US
dc.conference.name30th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.description.sponsorshipFunding Sources: Ortho-Biotech, Inc.-
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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